LACI N BURGESS Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194010832

License Status

ACTIVE

Business

First Name

LACI

Middle

Last Name

BURGESS

Prefix

Business Name

LACI N BURGESS

Original Issue Date

06/21/2018

Effective Date

08/22/2025

Expiration Date

10/31/2027

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/22/2025